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1891024832
MARIA WAMANSJAH
TUKWILA, WA
NPI
1891024832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PS00021696)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
-- MARIA WAMANSJAH Pharmacist
3716 S 144TH ST
TUKWILA, WA 98168-4045
Phone number: 206-204-1284
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Mailing Address
-- MARIA WAMANSJAH Pharmacist
3716 S 144TH ST
TUKWILA, WA 98168-4045
Phone number: 206-204-1284
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